Académique Documents
Professionnel Documents
Culture Documents
TELEPHONE NUMBERS
Information 615.837.5125
Brucellosis Results 615.837.5120
Tissue Receiving 615.837.5410
Serology 615.837.5128
Immunology 615.837.5221
Virology 615.837.5268
Bacteriology 615.837.5427
EAC Security 615.533.9945
Billing 615.837.5410
Blood/Serum boxes 615.837.5231
FAX 615.837.5250
INTRODUCTION
The Kord Animal Health Diagnostic Laboratory (KAHDL) is the State of Tennessee’s veterinary diagnostic laboratory
and is funded by legislative appropriation and fee revenue. It operates within the Tennessee Department of
Agriculture, Division of Regulatory Services to offer no-cost diagnostic services for food animal producers and
modest or discounted fee services for companion animals.
The mission of KAHDL is to provide accurate and timely diagnostic services to Tennessee veterinarians. KAHDL is
strictly a diagnostic service that works in concert with local veterinarians, who are best able to evaluate the client
or producer’s problems and recommend appropriate actions/treatment. It is strongly recommended that case
material be submitted by or at the direction of a practicing veterinarian (although owners may submit cases
directly if necessary). Results of examinations, analyses, and tests will be returned to the veterinarian to formulate
a diagnosis and recommend action to clients. If results indicate the presence of a reportable disease, they must
also be reported to the State Veterinarian. If at any time there is a question regarding a test or procedure, please
call prior to submission to be assured that the service is available and determine specific submission requirements.
Consultations regarding disease treatment are not provided by KAHDL.
We welcome suggestions and comments; we also invite veterinarians and veterinary paraprofessionals to visit the
laboratory in order to meet our team and observe methods used in various diagnostic procedures. These visits
help us understand your problems related to laboratory use and help you in preparing submissions so that optimal
diagnostic information is obtained.
LABORATORY HOURS
PATHOLOGY
• Histopathology/Biopsy $35.00 per animal
• Necropsy (no toxicology) $70.00 per animal, limb, organ, or head
• Necropsy (with toxicology) $105.00
• Necropsy (with spinal cord) $95.00
• Cytology $30.00 per tissue (per problem site)
• Slide preparation/Cytology $15.00 per specimen
• Decalcification $10.00 per tissue
• Special stains $2.00 per stain
• Slide preparation/HE $8.00 per slide
• Slide preparation/IHC, charged $10.00 per block
• Submitter special stain $10.00 per slide (requested by submitter)
TOXICOLOGY
• First test $35.00
• Each additional test $15.00
VIROLOGY/IMMUNOLOGY
• Serum/FA, etc. $15.00 each
• Lyme Disease (Borrelia) $18.00
BACTERIOLOGY/PARASITOLOGY
• Aerobic culture $15.00 per swab, tissue, site, or sample
• Antibiotic sensitivity $8.00 per isolate
• Fungal culture $15.00
• Anaerobic culture $15.00
• Stain, gram, acid fast $5.00
• Ectoparasite Identification $15.00 per test
MISCELLANEOUS CHARGES
• Save remains or save ashes $50.00
• Disposal (animal or parts) $25.00
• Leaky package/biohazard handling $15.00
• Shipping and Handling $20.00
• Packaging fee $4.00
• Accessioning fee $2.00
• Faxing by special request $2.00
• Sample supplies Cost plus 10%
• Past-due accounts 5.0% per month
• All submissions must be accompanied by an appropriate submission form which must be filled out completely.
• Live animals cannot be brought to the laboratory for collection of specimens or for euthanasia (except fish).
• Reporting Results
o An E-mail, telephone or fax report will be given on any significant laboratory findings as they become available
or if the result requires explanation by a veterinary diagnostician. Please make sure the submission includes
both an Email address and fax number to avoid delays (there may be a fee for faxed results).
o A written report will be sent to the referring veterinarian upon completion of the case. The preferred
distribution method is by Email. If a fax or USPS mailed copy is required, additional charges may apply.
• Copies of the owner’s written report are sent to the owner if the owner delivered the tissues and/or animal directly to
the laboratory or the submission is from a farm animal species and the owner’s complete address is present on the
submission form. E-mailed results are preferred, copies sent by USPS will significantly delay results.
• Please report any changes of Email, address, phone number or clinic association to the laboratory at (615) 837-5125.
• Veterinarians utilizing laboratory services may choose to send payment with submitted specimens or establish a charge
account with the laboratory. Accumulated charges will be billed to the clinic on a monthly basis. Accounts 90 days
overdue are subject to both a withholding of fee-based services until payment is received. Credit will also be
discontinued requiring payment accompany all samples.
• Submitting samples, specimens, or animals to KAHDL implies agreement to policies of the State of Tennessee and
KAHDL and transfers ownership of samples and property to KAHDL upon receipt unless otherwise determine by written
agreement prior to submission.
• Safety of laboratory personnel is paramount. Submissions with attached needles, leaking formalin or other fluids are
subject to being discarded or may have a biohazard fee levied. Absolutely no human samples are to be submitted. For
other primates, only formalin-fixed samples will be accepted (absolutely no fresh tissue or fluid samples from primates).
• Animals that are submitted with the concern or suspicion of being shot must submit radiographs (X-rays) of the body
part in question in two orthogonal views if retrieval of a projectile or confirmation is expected. For companion animals,
additional charges may apply if additional documentation or testing is required.
• Bone lesions or malformations are best diagnosed by radiographs. The laboratory does not have radiographic
capabilities and has limited capacity to examine bone lesions.
• Formalin-fixed tissues are required for histopathology examination. We do not accept fresh tissue for histopathology.
• Brain for rabies testing is best send to the Health Department’s rabies testing lab. Specimens sent to KAHDL will incur a
necropsy fee to help offset the costs of sample procurement, processing, and shipping to the Health Department.
Serum - Collect blood aseptically into a sterile dry tube, refrigerate immediately, allow to clot, centrifuge, and transfer
serum aseptically into a second tube. Serum must be fresh, clear, unhemolyzed, and uncontaminated. Using red top
®
Vacutainers , B-D, or other non-EDTA/heparin sterile commercially available tubes are ideal. Do not let whole blood freeze
or expose to direct sunlight or high temperature before decanting serum.
• Label each tube (not stopper) with tube number and vet code. Be careful that writing will be legible upon arrival (use
an indelible marker). Identify specimen in a way that will avoid confusion when results are reported. Avoid using
animal names. Keep your own log of sample numbers to avoid duplication and confusion. Be sure to number samples
consecutively and maintain a master list. Always include a copy of this master list with the submitted sample. Put small
tubes in a box or tape to large cardboard so they will not be lost in the packing materials.
• Always call if sending more than 25 samples so that the laboratory can prepare for extra cases.
• Submit at least 1.0 ml of serum for each test requested. Refrigerate the serum until shipment.
Fresh tissues should be collected aseptically and placed individually in well-labeled Whirl-Pak® bags and refrigerate
immediately. Refrigerated samples should be shipped with sufficient cold packs and padding. Ship samples in a leak proof
insulated container or in sturdy mailing carton which complies with postal or commercial carrier specifications. Submit
samples early in the week to avoid holding over the weekend by the carrier. FedEx® or UPS® are preferred. Shipping by
USPS may result in significant delays.
Complete and legible form(s), (including a complete history), must accompany all submissions. All regulatory charts must
include the submitting veterinarian’s signature, vet code, and animal identification.
KAHDL is proficiency tested and certified by the National Veterinary Services Laboratory (NVSL) to perform:
• Anaplasmosis enzyme-linked immunosorbent assay (ELISA)
• Agarose gel immunodiffusion (AGID) for bluetongue, bovine leukemia virus, and equine infectious anemia
• Mycobacterium avium paratuberculosis (Johne’s) ELISA
• Johne’s, Avian influenza, and Exotic Newcastle’s Disease polymerase chain reaction (PCR)
• Leptospira microagglutination test
• Pseudorabies serologic screening by gB ELISA
• Classical swine fever PCR
• Foot-and-mouth disease PCR
Sampling & submission protocol for testing ear notch specimens for BVD:
• Materials and equipment needed:
o Ear notching tool that yields a 1 cm x 1 cm notch. Recommend purchasing two or more tools
Nasco: 1-800-558-9595. Order ID medium C0024N
Dairy Health USA: 1-800-276-7933. Order ID medium 440-31
Stone Livestock ID & Show Equipment: 1-816-231-4020. Order ID medium 7125
o Red Top blood tube: Vacutainer® 7 ml draw 16mm x 75mm collection tube with no additives is preferred.
o Shipping container that holds individual tubes in slots.
o Submission Form from the Kord Animal Health Laboratory (615-837-5125) or from the end of this guide (at
http://www.tn.gov/agriculture/regulatory/kord.shtml)
o Disinfectant for rinsing notching tool: 10% bleach (100 ml (3 oz.) bleach in 900 ml (27 oz.) water).
o Clean rinse water: 3-5 gallon bucket. Change bucket water every 20-30 notches.
o Disposable gloves and clean coveralls.
• Collection & submission procedure
o Label Red Top collection tubes with consecutive numbers (#1 through number in submission) and keep a list of the
corresponding animal ID or tattoo numbers. This method of labeling significantly reduces the turnaround time in
the laboratory and gets the results to you faster.
o Dip notching tool in disinfectant, then ALWAYS rinse away disinfectant with copious quantities of clean water.
CAUTION: Residual disinfectant on the notching tool will yield false negative results, therefore thorough rinsing
with clean water is required!
o Collect an ear notch approximately 1 cm x 1 cm (3/8 in. x 3/8 in.) from a clean portion of the ear. Only fresh ear
notch samples are acceptable for the antigen-capture ELISA test. The ear should not be cleaned with anything but
water. Disinfectant of any kind (e.g. Novasan) can interfere with the test.
o Place the fresh ear notch into a sterile, clean Vacutainer® collection tube (no formalin, saline, bleach, other liquid,
detergent residue, or separator gel). Do not use Whirl-Pac® or any other type of plastic bags. CAUTION: Collected
ear notch must be free of contaminating dirt, feces, tattoo ink or BVD vaccine. Do not vaccinate or tattoo at the
same time samples are taken.
o Send samples to the laboratory with sufficient ice packs to chill the specimen during shipment. Saline or other
media must NOT be added to the tube containing the ear notch. Likewise, please do not use any fixative (e.g.
Formalin).
o Notify the laboratory in advance prior to shipment regarding the number of samples and when they will be sent.
This allows us to have adequate supplies for testing and to arrange staffing to do the testing.
Equine Infectious Anemia (EIA or Coggins) serology requires at least two (2) ml of clear, fresh, non-hemolyzed serum and
takes at least 24 hours to complete when the laboratory is fully staffed and sample numbers are not excessive. Retesting
may be required. Each tube of serum submitted should be identified with vet code and the tube number corresponding to
the tube number on the submission form. A mane tag is to be affixed to each horse tested and tag number recorded on
the submission form. If additional tests other than EIA are requested, please, submit two samples. The submission form
(VS form 10-11) must be completely and correctly completed and signed by the submitting veterinarian. Continued on the
next page.
Export testing: The submitting veterinarian is responsible for informing the laboratory of any special requirements (i.e.,
dilutions, type of test). If this information is not supplied, there may be a delay in receiving test results. For information on
test regulations, call:
• Federal – USDA, APHIS, VS, Veterinarian in charge @ 615.781.5310
• State – Office of the State Veterinarian @ 615.837.5120
When calling for results, we must have the following information exactly as provided on the submission form:
• Submitting veterinarian’s name
• Owner’s name
• Animal’s name or ID
• Sample number or ID
• Submitting date
• Bleeding date
Advance notice (7-10 days ahead) should be provided when submitting a large number of samples.
For sero-diagnosis in the individual animal, paired sera are recommended to test for specific antibody: the first sample
taken when the animal is initially examined (acute phase serum) and the second sample 2-4 weeks later (convalescent
phase serum). A rise in antibody titer between the paired samples is a basis for a specific serologic diagnosis for a particular
disease. The paired serum samples should be submitted together in order to obtain a better understanding of the
diagnostic significance of titers as they relate to the clinic status of the animal.
If only a single serum sample can be obtained, it must be taken from a convalescent animal. An acutely ill animal is
virtually devoid of antibody against the particular disease-causing agent.
If only acutely ill animals are present, swabs or tissues for isolation or culture of the causative agent should be submitted.
Submit serum tubes in slotted blood boxes. These are available at no cost by calling 615-837-5231 and leaving indicated
information on the recording.
If there are any questions regarding submission of samples, please call KAHDL at 615-837-5125.
Examples of problems in submission of serum and tissue specimens are indicated below in order of decreasing frequency of
occurrence.
Please note that sending items by the USPS may result in significant delays – in some cases, up to a week increase in turn-
around time can be expected if the sample is still viable when USPS is used instead of FedEx® or UPS®. All etiologic and
biologic specimens sent to the Department of Agriculture through the U. S. Mail must be properly packaged so the contents
will not leak during shipment. Reference: Domestic Mail Manual, CO23.10.0-10.7.
• The specimen must be packaged in a securely sealed watertight primary container (test tube, vial, etc.) which is then
placed in a watertight, secondary plastic container with a tightly sealed closure that cannot open during shipment.
• CAUTION: Do Not Use Sealable Food Bags except for submission forms
• The specimen container and the secondary container must then be placed in a sturdy cardboard box protected with
additional absorbent packing material. The submission form should be submitted in a leak-proof sealed bag.
• Etiologic agents and Biohazard Materials must be sent by first-class Mail, Priority Mail, Express Mail, UPS® or FED-EX..
• Leak-proof Formalin containers and adsorbent materials are available from the following suppliers:
• Labsco, (800) 888-5227
• http://www.labsco.info/default.aspx?Page=Home
• Consolidated Plastics (800) 362-1000
• www.consolidatedplastics.com/Natural-And-Clear-Wide-Mouth-Threaded-Jars-C1581.aspx
• Path-tec, (706) 569-6368
• http://www.path-tec.com/products/productpages.htm
SUBCONTRACTORS
NOTE: Any test not listed in this Lab Users Guide is subject to subcontracting. Subcontracting of tests may also occur if a
test or procedure normally conducted at Kord ADDL is not currently available. Submission of samples to Kord ADDL implies
authorization to utilize testing by these laboratories. Any fee-based testing requires client preapproval. All toxicology
samples are subcontracted to another division within the Tennessee Department of Agriculture.
ABORTIONS
Diagnosis of the cause of abortion is often difficult and complex. Tips to increase your diagnostic yield include:
• Submit tissues from multiple fetuses and placentas to increase the probability of diagnosis.
• For serum titers, collect and submit the first of paired serum samples from the suspected aborting animal and follow in
2-3 weeks with the second sample.
• If a toxic condition is suspected, submit samples of the aborting animal’s feed and water along with aqueous humor or
an intact eye.
• If the fetus and placenta cannot be submitted, submit the following:
o FRESH TISSUE for bacterial culture & virology may include stomach contents, placenta, liver, lung, spleen, kidney,
& brain.
o FIXED TISSUE for histopathological examination should include placenta, Lung, liver, heart, adrenal, kidney,
thymus, and brain.
o OCULAR FLUID (best) or eye for nitrates or if hypomagnesemia is suspected.
BACTERIOLOGY SUBMISSIONS
KAHDL does not conduct any testing for food safety purposes or make any recommendations regarding safety or edibility of
items for human consumption.
• AEROBIC SPECIMENS FROM NECROPSIED ANIMALS
o Collect all specimens as aseptically as possible. A golf ball-sized portion of each organ should be collected.
o If the outside of the specimen is accidentally contaminated, wash the specimen with clean tap water.
o Refrigerate (wet ice packs) all specimens to prevent saprophytic overgrowth.
o Collect observable lesions or suspected target organs.
o For neonatal diarrhea, submit a tied off 4-5 cm segment of jejunum, ileum, and colon with the accompanying
lymph nodes for culture of pathogenic bacteria. Fecal floatation is not performed at KAHDL.
o Tissue specimens should be placed in individual leak-proof plastic bags & identified (use water-proof ink). Ideally
each tissue should be separate - at a minimum, separate gastrointestinal tract from other organs.
• MASTITIS MILK SPECIMENS
o Wash udder to remove dirt and allow drying.
o Scrub teat end with alcohol soaked cotton and let it dry.
o Samples should be collected in a sterile container immediately prior to regular milking without discarding any
streams of milk (the first milk usually contains the greatest number of the infecting micro-organisms).
Approximately 1-2 mls is sufficient.
• SWAB SUBMISSIONS - Collect samples aseptically and submit in commercial transport media.
• ANAEROBIC AND MICROAEROPHILIC SPECIMENS
o Note: Anaerobic & microaerophilic organism culture is heavily dependent on sample selection & shipment.
o Samples should be taken from a living animal or a fresh carcass.
o Specimens should be submitted in a transport media that limits or excludes air from the sample. Use a
commercial anaerobic transport media swab.
• COLLECTION AND CARE OF SPECIMENS - Currently the only fungi cultured by the laboratory are dermatophytes.
Submit skin scrapings from the outer edges of a lesion and submit plucked (not cut) hairs. Skin, hair, and nails should be
shipped to the laboratory without refrigeration.
• RESULTS - Fungal isolations normally take longer than bacteria; therefore, we recommend waiting 14-21 days before
expecting a result. Feel free to call to check on culture status if there is a question.
• DIMORPHIC FUNGI – Blastomyces and Histoplasma are among the highly pathogenic dimorphic fungi that pose a
significant risk to laboratory personnel. These diseases are best diagnosed by serological methods, cytology and/or
histopathology which provide a more rapid diagnosis than fungal culture.
TURN-AROUND TIME
• Please note that we make every effort to assure prompt and accurate results with the resources we have available.
• Some tests such as fungal and Mycobacterial culture may take several weeks or more; if there is a question
regarding results, feel free to call and we can give you an estimated finalization date.
• Examples of some of the prolonged tests/assays that require extended periods of time to finalize are:
o Mycoplasma, 7-10 days
o Dermatophytes/fungal, 14-21 days
o Johne’s disease (paratuberculosis), 1-8 weeks – reported earlier if there is a positive test result
The Microbiology section of the Animal Health Diagnostic Laboratory provides culture & testing for a wide variety of
infectious diseases. Some of the most common are listed below along with the preferred sample.
TEST SAMPLE
Acid Fast Stain Feces or intestine (for Mycobacterium paratuberculosis and Cryptosporidia)
Aerobic Culture Fresh chilled tissue, urine, exudate, transtracheal wash
Anaerobic Culture Fresh tissue, anaerobic culturettes, exudate
Antibiotic Sensitivity Performed on isolates recovered from specimens
(disc diffusion, Vitek®) Please request on accession form if you would like this test done
Blood Culture Blood submitted in blood culture bottle
Brucella abortus culture Fetal tissues, placenta, milk, lymph nodes
Brucella canis Fetus, testicle, placenta, uncoagulated blood in a blood culture bottle, lymph nodes, vaginal
discharge, milk, semen
Calf Scours Feces or affected intestine
Campylobacteriosis Affected intestine – must specifically request (requires specific media)
Candida Lesion, milk
Dermatomycosis Lesion, hair, scales, fungal slants/trays
Dermatophilosis Hair and scabs (please submit a generous sample)
Diarrhea/enteritis Feces, affected intestine
Johne’s Dz (M Feces (2 gram sample, Walnut-sized sample)
paratuberculosis)
Lumpy Jaw (Actinomyces) Exudate, lesion, sulfur granules
Mastitis (milk) culture Milk submitted in Whirl-Paks® or sterile tubes. Approximately 2-4 ml is sufficient.
Please NOTIFY the laboratory in advance if submitting more than 40 samples at a time
Mycoplasma Fresh chilled tissue, transtracheal wash, swab (may require 10-14 days for completion).
Paratuberculosis (Johne’s). Feces (2 gram sample, Walnut-sized sample)
Pinkeye (Moraxella bovis) Culturette of affected eye. Sometimes difficult to isolate from normal flora
Pneumonia Lung (Please indicate if Mycoplasma, Hemophilus, or Rhodococcus is suspected)
Salmonella feces, feed, water, environmental samples
Strep. equi equi (Strangles) Exudate from non-draining lesion
Trichomonas culture Preputial wash, vaginal fluid, CALL FOR PROTOCOL before submitting samples
Note that the preferred method for diagnosing trichomoniasis in cattle is now PCR; however, some regulatory agencies may
still require culture. Diagnosis of trichomoniasis is made when Trichomonas organisms are observed from the smegma or
preputial flush samples of bulls, or the uterine/vaginal fluid from cows. All samples must be submitted in an InPouch™ TF
pouch. These pouches may be purchased from Biomed Diagnostisics.¹ Accurate diagnosis is dependent on the efficacy of
sample collection, handling, and processing. When a positive sample is found, at the client’s request, it will be submitted for
Polymerase Chain Reaction (PCR) to distinguish between T. foetus and other Trichomonas organisms. There will be an
additional charge for the PCR.
• MATERIALS REQUIRED:
o InPouch™TF pouches
o Disposable gloves
o Infusion pipette
o 20 ml syringes or wooden applicator sticks/sterile cotton-tipped swabs
• SAMPLES:
o Smegma or preputial flush of bulls
o Uterine/vaginal fluid from cows
• SAMPLE COLLECTION:
o To view online training course Trichomoniasis Testing Course for Bovine Practitioners, go to:
http://extension.wsu.edu/vetextension/Beef/trich/Pages/default.aspx
Contact Dr. Clariday, Assistant State Veterinarian, at 615. 837.5120 for questions about certificates of completion
for this training course.
• INOCULATION OF InPouch™: For details, see the InPouch™TF manufacturer’s instructions.
• SUBMISSION and SHIPPING REQUIREMENTS:
o Samples must be collected into InPouch™ TF pouches (see vendor info below)
o o
o Pouches must be kept at ambient (room) temperature (65-80 F or 18-27 C) prior to shipping to the lab
o Avoid overheating or freezing the samples
o DO NOT use expired InPouch™ TF pouches (dated on side of each pouch). Such samples will be rejected from testing.
o DO NOT submit samples in other containers or media or they will be rejected from testing.
o DO NOT refrigerate or freeze the inoculated InPouch™ samples, or the un-used InPouch™.
o Send the inoculated InPouch™ samples in an INSULATED CONTAINER with NO ICE PACKS by overnight express/one
day delivery (Not USPS). The Kord Laboratory should receive the samples within 24-48 hours after collection.
o Samples in transit for more than forty-eight (48) hours after collection will NOT be accepted for testing.
o When planning to collect ten (10) or more samples, please schedule the submission with the laboratory prior to
collecting the samples. Phone: 615.837.5125.
o Provide a master list of the samples with the submission by numbering the InPouch™ with consecutive numbers (1, 2,
3, etc.). Keep a master list of corresponding animal ID or tattoo numbers and send a copy to the lab along with the
regular lab submission form.
o Schedule shipments to avoid weekend or holiday delivery to the laboratory. (Samples are accepted on Friday if they
are delivered in person by 4:00 P.M.)
• TURNAROUND TIME:
o Culture: Six (6) business days after samples are received by the lab.
o PCR: Two (2) to five (5) business days after samples are received by the lab.
¹BioMed Diagnostics, Inc., 1388 Antelope Road, PO Box 2366, White City, Oregon 97503 - (800) 964-6466
• www.biomeddiagnostics.com
• InPouch™TF Test – Bovine Cat # 11-1003 100 tests
• InPouch™TF Test – Bovine Cat # 11-1010 10 tests
1. Diagnostic accuracy is directly proportional to the collector’s ability to select the specimen that represents the lesion or
disease process. Poor selection can result in inaccurate interpretation. Improper samples or samples deemed non-
diagnostic will not be processed. Specimens should include grossly observable lesions with a small amount of adjacent
normal tissue.
2. Specimens should be from the organ containing the lesion. Tissue specimens should include the surface and all
anatomical features; for example, specimens of the kidney must include cortex, medulla, and pelvis.
3. The entire brain should be removed and cut longitudinally on the midline into two equal portions; 1/2 should be
submitted in 10% BNF for histopathology and 1/2 submitted fresh for other test procedures, as indicated. (Gross
examination by an experienced pathologist is often necessary to locate focal lesions for further sectioning - random
samples often miss important lesions.) – THE EXCEPTION TO THIS PROCEDURE IS IN CASES WHERE RABIES IS A
DIFFERNTIAL – IN SUCH CASES, BRAIN SHOULD EITHER BE SUBMITTED DIRECTLY TO THE HEALTH DEPARTMENT OR
THE ENTIRE BRAIN SHOULD BE SUBMITTED FRESH ON ICE.
4. Specimens (except the brain) should be 0.5 cm to 1 cm thick. Specimens that are too thin cannot be properly trimmed
for sectioning and those that are too thick decompose before they are fixed. (Formalin penetrates approximately 3 mm
on each side of the section per day at room temperature.)
5. Fixation must begin as soon as possible after a carcass is opened or a surgical specimen is procured. At least ten (10)
parts of fixative to one (1) part of tissue is necessary. Samples may be shipped in a smaller volume after being fixed.
6. Buffered, formalin-fixed tissues are required for histopathology examination. Neutral-buffered formalin is available
commercially or the following recipe can be used:
• 900 cc of water
• 100 cc 40% formaldehyde
• 5 grams calcium carbonate
7. Intestinal specimens requiring critical examination of villi (i.e. rotavirus and coronavirus infection) require special
handling. The preferred method is to tie off approximately 3 cm long segments of bowel and gently fill the segments
with 10% neutral buffered formalin, using a needle and hypodermic syringe.
8. Skin, gastrointestinal endoscopic biopsies and uterine biopsy specimens should be placed on a piece of tongue
depressor, sliced cucumber (GI biopsies), or smooth cardboard
• Do not use paper
• Subcutis/submucosa or cut surface should be in contact with the wood or cardboard
9. In order to provide meaningful information for tumor margin evaluation, margins should either be inked with a
commercial inking system or should have sutures placed and a clear indication of specimen orientation should be
included with submission forms.
10. The mouth of specimen containers should be wide enough to allow the tissue to drop into the bottle without touching
the sides of the opening. Note that unfixed tissue can be easily forced into a jar that has an opening too narrow to
allow removal following fixation without breaking the container. Glass container should be avoided.
SHIPMENT
1. Use wide mouth plastic or non-breakable bottles or vials with leak-proof lids. Avoid taping containers shut; it does not
prevent leakage (Parafilm™ is acceptable). There are recycled containers available at KAHDL.
2. Refer to attached postal guidelines. Note that using the USPS instead of FedEx® or UPS® may significantly slow turn-
around times. Unless there are special requirements (decalcification or special stains), we will do everything possible to
limit turnaround time to one day to process slides and another day for them to be read by pathologists (total turn-
around from receipt of fixed tissue should be less than 2-3 days).
3. Pack the specimens with adequate padding to prevent breakage.
4. Avoid cramming large quantities of tissue into a small container.
5. Submit tissue in 10:1 ratio of fixative to tissue or fix the tissue and then transfer it to a smaller container with less
formalin for shipment.
6. For multiple samples from a single patient, samples should be clearly differentiated in separate containers or somehow
marked (ink, suture) if submitted in the same container.
SUBMISSION FORM
CYTOLOGY
• The laboratory offers cytologic and peripheral blood smear examinations. However, we do not do clinical chemistries,
CBC’s or differential blood counts. These can best be accomplished by commercial or hospital laboratories.
• Cytologic aspirates are safe, easy, and often valuable. However, cytology does have its limitations. Material collected
may not always represent the ongoing process. For example, large quantities of blood in an aspirate may represent
part of the pathologic process or be due to the aspiration procedure. Insufficient cellular material in an aspirate may
result when working with fibrous tissue such as fibrosarcomas. The quality of the sample strongly influences the
diagnostic potential of cytology. Therefore, close attention must be made to slide preparation and handling. Ideally,
preparations should be thin enough to visualize individual cells but cellularity must be sufficient for diagnosis. Cells
should be handled gently to prevent destruction. Because fresh cells make the best preparation, slides should be
prepared promptly after collection.
• Fine Needle Aspiration
1. Use a 22 gauge needle with 10-12 cc syringe and pre-cleaned slides.
2. Take several vigorous aspirates from mass.
3. In order to avoid rupturing of cells, release suction pressure before removing the needle from mass. Often the
specimen will be contained only in the hub of the needle.
4. After withdrawing the needle from the mass, remove the needle from the syringe. Then, fill the syringe with air,
replace needle and use aspirated air to force cellular material onto slide.
5. Make a “squash” or “pull-apart” smear by covering the material on the slide with another slide, squashing the
material on the slide with digital pressure and then pulling the slides apart. This must be done quickly as
cytologic material often clots rapidly. Note that excessive pressure will destroy labile cells such as neoplastic
lymphocytes.
6. Please sent 3-4 unstained, air dried smears.
Note: Lymph node aspirates must be handled gently. Lymphocytes are frequently damaged if shear force is applied
to them. This is especially true in the case of malignant lymphoblasts. Slides should be squashed together
by digital pressure and pulled apart vertically rather than horizontally to avoid shear force.
• Imprints - Imprints or touch-preps can be made from solid tissue. A fresh surface should be blotted to remove the
majority of surface blood. Several imprints per slide should be made. Material should not be smeared.
• Scrapings – Fibrous tissues are best sampled by scraping. A fresh surface is cut and then scraped using a clean scalpel
or razor blade. The material is then gently spread across the slide.
• Body fluids and washes - Slides from turbid fluid samples can be made in the same manner as peripheral blood slides.
Clear or slightly turbid fluids should be centrifuged and the sediment spread on slides. Smears must be made promptly
after each collection. Cellular degeneration will be evident within 2 - 3 hours after collection.
• Evaluation for blood parasites - Submit 2 unstained, air dried blood smears (fresh blood preferable to avoid artifacts
caused by EDTA).
• Only slides prepared at the time of collection will be examined. Do not submit only fluids or blood for microscopic
evaluation.
• Additional cytology tips can be found in our newsletter, KAHDL NOTES volume 1, number 2.
PARASITOLOGY
The KAHDL no longer accepts fecal samples for fecal flotation testing. Identification of ectoparasites is available.
Cryptosporidia may be identified in a fecal smear submitted to the Bacteriology Section.
KAHDL personnel are certified by NVSL to perform Brucella abortus card testing, BAPA, and the standard plate test.
Brucella abortus antigen is also used for porcine testing (B suis cross reacts), as is the BAPA test (which is also used for
testing cervidae). Serology personnel are also certified to perform avian influenza AGID testing. The expected
turnaround time for selected analyses based on batch sample testing follow:
• 24 Hour turnaround is expected on agglutination tests, AGID tests, and fluorescent antibody testing
• 48 hour turnaround is expected on Immunofluorescent antibody testing
• 4 day turnaround is expected in ELISA tests and Leptospirosis microagglutination testing
• 1 week turnaround is expected on serum neutralization tests
Note that turnaround times are based on when we receive the sample. Shipping by overnight UPS® or FedEx® is always
recommended to speed up the testing process. We do not recommend USPS shipping.
SEROLOGY & MOLECULAR DIAGNOSTIC TESTS BY SPECIES (SUBMIT ALL SERUM IN BLOOD BOXES)
AVIAN (POULTRY):
TEST DAYS
TEST SPECIMEN SHIPPING TYPE RUN COMMENTS
Avian Influenza Serum (at least 1 ml) Refrigerate ELISA M-F
AGID M-Th Not run on Friday (24 hour test)
Cloacal, tracheal, &/or PCR Requires special request
oropharyngeal swab-
inoculated broth
Chlamydophyla Spleen, liver, lung, air sac, Refrigerate FA M-F Reported as positive or negative
conjunctival swab
Mycoplasma Serum Refrigerate ELISA M-F Requires at least 1 ml of serum
galliseptica & M. Tracheal swab (call first for HI Submit in appropriate transport media
synoviae submission directions) PA
Salmonella Serum (at least 1 ml) Refrigerate RSA M-F Screening test – MA used for
pullorum confirmation
MA Confirmatory test for positive RSA
results
CANINE (DOG):
TEST DAYS
TEST SPECIMEN SHIPPING TYPE RUN COMMENTS
Blastomycosis Serum Refrigerate AGID M-F
Brucella canis Serum Refrigerate IFA M-F Samples run at 1:10, 1:50, 1:250, 1:1250
dilutions.
Distemper Virus Lung, kidney, spleen, urinary Refrigerate FA M-F Reported as positive or negative
bladder, brain, stomach, liver,
blood smear
Serum IFA M-F IgG, IgM determination. Run at 1:10,
1:50, 1:250, & 1:1250 dilutions
Ehrlichia canis Serum Refrigerate IFA M-F Run at 1:10, 1:50, 1:250, & 1:1250
dilutions.
Herpesvirus Lung, liver, kidney, spleen, Refrigerate FA M-F Reported as positive or negative
lymph node
Serum IFA IgG, IgM determination. Run at 1:10,
1:50, 1:250 & 1:1250 dilutions.
Histoplasmosis Serum Refrigerate AGID M-F Reported as positive or negative
Hepatitis Serum Refrigerate IFA M-F IgG, IgM determination
(adenovirus) Run at 1:10, 1:50, 1:250, & 1:1250
dilutions.
Lyme Disease Serum Refrigerate IFA M-F Samples run at 1:64, 1:128, 1:256, 1:512
(borreliosis) dilutions
Leptospirosis Serum Refrigerate MA Batch Serum tested for 5 serovars - canicola,
Kidney, lung FA M-F grippotyphosa, hardjo,
icterohemorrhagiae, and pomona, at
1:100, 1:200, 1:400, 1:800, 1:1600,
1:3200, and 1:6400 dilutions. Usual
turnaround time is 4 days.
Neospora Brain, lung, liver, kidney, Refrigerate FA M-F Reported as positive or negative
caninum muscle, skin
Serum IFA Sample tested at 1:50
Parvovirus Intestine (jejunum, ileum), Refrigerate FA M-F Reported as positive or negative
spleen, mesenteric lymph
node
Serum IFA IgG, IgM determination. Run at 1:10,
1:50, 1:250, & 1:1250 dilutions
Rocky Mountain Serum Refrigerate IFA M-F Samples run at 1:64, 1:128, 1:256, 1:512
Spotted Fever dilutions
EQUINE (HORSES)
DAYS
TEST SPECIMEN SHIPPING TEST RUN COMMENTS
Brucella abortus Serum Refrigerate Card, M-F Reported as positive or negative
BAPA,
std
plate
Equine Infectious Serum Refrigerate AGID M-F Complete EIA form (VS Form 10-11).
Anemia (EIA) Submitting veterinarian’s signature is
required. Samples received before 2PM
will be set up for testing that day. The
test takes 24 hours. Submit tubes in
slotted blood boxes (Available at no
cost; 615-837-5231)
Equine Rhino- Lung, liver, spleen, fetal Refrigerate FA M-F Reported as positive or negative
pneumonitis Virus tissues
(ERV) Serum SN M,Th,F Titers begin at 1:4, 1:8, 1:16, 1:32, 1:64,
1:128: 1:256
Potomac Horse Serum Refrigerate IFA M-F Samples run at, 1:80 and 1:160 dilutions.
Fever
Leptospirosis Serum Refrigerate MA Batch Serum tested for 5 serovars - canicola,
grippotyphosa, hardjo,
icterohemorrhagiae, and pomona, at
1:100, 1:200, 1:400, 1:800, 1:1600,
1:3200, and 1:6400 dilutions. Usual
turnaround time is 4 days.
Kidney, lung FA M-F
West Nile Virus Send to Breathitt Veterinary
Center
https://breathitt.murraystate.
edu/)
FELINE (CATS):
TEST DAYS
TEST SPECIMEN SHIPPING TYPE RUN COMMENTS
Chlamydiophyla Conjunctival smear, nasal Refrigerate FA M-F Reported as positive or negative
swab, lung
Feline Calicivirus Serum Refrigerate IFA M-F Samples are tested for IgG titers at 1:10,
1:50, 1:250 and 1:1250 dilutions
Feline Herpes Nasal swab, conjunctival Refrigerate FA M-F Reported as positive or negative
virus swab, tonsil, trachea, lung
Serum IFA Samples are tested for IgG titers at 1:10,
1:50, 1:250 and 1:1250
Feline Infectious Affected tissues (kidney, liver, Refrigerate FA M-F Reported as positive or negative
Peritonitis (FIP) spleen, lymph nodes)
Serum, pleural or peritoneal IFA M-F Sample is tested at 1:6400 dilution
fluid
Note: PCR testing for FIP virus in circulating monocytes is currently the test of choice for diagnosing FIP. This
testing is offered through Auburn University – see:
http://www.vetmed.auburn.edu/feline_infectious_peritonitis_virus2
Panleukopenia Small intestine, lymph node, Refrigerate FA M-F Reported as positive or negative
spleen, aborted fetus
Serum IFA Samples tested for IgG titers at 1:10,
1:50, 1:250, 1:1250 dilutions.
Toxoplasmosis Serum Refrigerate IFA M-F Samples are tested at 1:16, 1:32, & 1:64,
& 1:128 dilutions.
PORCINE (PIGS)
TEST DAYS
TEST SPECIMEN SHIPPING TYPE RUN COMMENTS
Leptospirosis Serum Refrigerate MA Batch Serum tested for 5 serovars - canicola,
Kidney, lung FA M-F grippotyphosa, hardjo, icterohemorrhagiae,
and pomona, at 1:100, 1:200, 1:400, 1:800,
1:1600, 1:3200, and 1:6400 dilutions. Usual
turnaround time is 4 days.
Brucella suis Serum Refrigerate CARD Batch
BAPA M-F BAPA = Buffered Acid Plate Agglutination
Circovirus Lung, spleen, liver, kidney, Refrigerate FA M-F Results reported as positive or negative
lymph node
Serum IFA Samples are tested at 1:16, 1:32, 1:64, &
1:128 dilutions.
Porcine Fetal tissues Refrigerate FA M-F Reported as positive or negative
Parvovirus Fetal serum or fetal fluid IFA Samples run at 1:10, 1:50, 1:250 and 1:1250
dilutions. A single serum sample from the
dam is of little value since the breeding herd
is often seropositive.
Porcine Serum Refrigerate IFA M-F Sample is tested at 1:20 dilution.
Respiratory and
Reproductive
Syndrome (PRRS)
Pseudorabies Brain, Lung, Tonsil, Kidney Refrigerate FA M-F Reported as positive or negative
Serum ELISA Batch
Rotavirus Feces, intestine Refrigerate ELISA Batch Reported as positive or negative
TEST DAYS
TEST SPECIMEN SHIPPING TYPE RUN COMMENTS
Anaplasmosis Serum Refrigerated CA M-F Reported as positive or negative.
or Frozen** **For the card test, serum should be
refrigerated if analyzed in 48 hrs or frozen if
longer interval between collection and
testing.
Refrigerate ELISA BATCH For export, advance notice (> 1 weeK)
required
Bluetongue Serum Refrigerate AGID M-F Reported as positive or negative
Bovine Leukosis Serum Refrigerate AGID M-F Reported as positive or negative
Bovine Lung, bronchial lymph node Refrigerate FA M-F Reported as positive or negative
Respiratory
Syncytial Virus Serum Refrigerate IFA Samples run at 1:50 dilution.
TM
Bovine Preputial wash Avoid PCR BATCH Sample must be submitted in InPouch TF
Trichomoniasis temperature pouches. Results are reported as positive or
extremes negative.
Bovine Viral Lung, intestine, turbinate, Refrigerate FA M-F Reported as positive or negative
Diarrhea (BVD) trachea, lesion swabs, fetal
organs
Serum SN BATCH Titers: 1:4, 1:8, 1:16, 1:32, 1:64, 1:128, 1:256
Brucella abortus Serum Refrigerate Card M-F Reported as positive or negative – also
test applicable to camelids & other ungulates
BVD Persistent Serum, ear notch Refrigerate ELISA BATCH Follow instructions for ear notch submission.
Infection Reported as positive or negative. Analyzed
in batches as dictated by demand.
Caprine Arthritis- Serum Refrigerate AGID M-F Reported as positive or negative.
Encephalitis
Chlamydia Lymph node, aborted fetal Refrigerate FA M-F Reported as positive or negative.
tissue, joint fluid
Clostridium Gangrenous muscle, liver, Refrigerate FA M-F Test for Clostridium chauvoei and novyi.
lung Reported as positive or negative.
Epizootic Serum Refrigerate AGID M-F Reported as positive or negative
Hemorrhagic
Disease (EHD)
Infectious Bovine Lung, trachea, turbinate, Refrigerate FA M-F Reported as positive or negative
Rhinotracheitis abortus
Serum SN BATCH Titers: 1:4, 1:8, 1:16, 1:32, 1:64, 1:128,
>1:256
Johne’s Dz - Serum, bacterial culture Refrigerate ELISA BATCH Results are reported as positive or negative.
Mycobacterium PCR PCR is used as confirmatory assay for the
paratb growth on culture.
May take up to a month for PCR turn-
around.
Continued on next page
Continuation …
Leptospirosis Kidney, lung Refrigerate FA M-F
Serum MA BATCH Serum tested for 5 serovars - canicola,
grippotyphosa, hardjo, icterohemorrhagiae,
and pomona, at 1:100, 1:200, 1:400, 1:800,
1:1600, 1:3200, and 1:6400 dilutions. Usual
turnaround time is 4 days. No herd testing
— sick animals only.
Urine, kidney PCR Under development
Listeria Serum Refrigerate CA M-F Test for Type 1 and Type 4 serotypes.
Screened at 1:20.
Titers: 1:20, 1:40, 1:80, 1:160
Neospora Brain, lung, kidney, liver Refrigerate FA M-F Reported as positive or negative
caninum Serum IFA Serums run at 1:200 dilution.
Ovine Progressive Serum Refrigerate AGID M-F Reported as positive or negative
Pneumonia
Q Fever (Coxiella) Serum Refrigerate IFA M-F Samples are tested at 1:16, 1:32, 1:64, &
1:128 dilutions.
Rotavirus Feces, intestine (spiral colon, Refrigerate ELISA BATCH Reported as positive or negative
ileum, & jejunum)
Toxoplasmosis Serum Refrigerate IFA M-F Samples are tested at 1:16, 1:32, & 1:64, &
1:128 dilutions.
TOXICOLOGY
For suspected poisoning cases, samples will be subcontracted for toxicology testing. For routine toxicology testing, samples are
submitted to the Toxicology Section, Technical Services Division, Tennessee Department of Agriculture. Submission to Kord ADDL
implies authorization for subcontracting to this laboratory. The client is responsible for any costs associated with toxicology testing.
For samples sent to another laboratory for toxicology testing at the client’s request, the client is responsible for the cost. When
poisoning is suspected, please notify the laboratory at the time of submission. Please specify on submission forms which test
should be run on which tissue – just indicating “toxicology” is not sufficient (for example, “test liver for anticoagulant
rodenticides”). When submitting serum, the serum should be removed from the blood clot or a serum separator tube should be
used.
*DRUG SCREENS:
State Veterinarian, Dr Charles Hatcher – regulatory, interstate shipping, health certificates 615.837.5120
West Tennessee Animal Diagnostic Lab @ UT-Martin 731.881.7952
University of Tennessee College of Veterinary Medicine 423.974.8387
Necropsy, days 865.974.5673
Necropsy, after-hours 865.974.5701
Tennessee Wildlife Resources Agency (TWRA) 615.781.6500
Tennessee Department of Health: http://health.state.tn.us/contact.htm
Dr Heather Henderson, Veterinary Epidemiologist (rabies information) 615.741.3111
615.741.7247
USDA-APHIS Veterinary Services (“The Feds”) 615.781.5310
State/Federal Brucellosis Records (Brucellosis Results) 615.837.5120
Rabies Laboratories:
Use USPS specimen mail
Nashville:
Tennessee Dept of Health Lab Services, 630 Ben Allen Rd, Nashville, TN 37247
Mail: PO Box 305130, Nashville, TN 37230-5130 615.262.6350
Jackson Branch Rabies Laboratory:
Tennessee Department of Health, 295 Summar Avenue, Jackson, TN 38302-0849 901.423.6600
Knoxville Branch Rabies Laboratory (East Tennessee Regional Office):
1522 Cherokee Trail, POB 59019, Knoxville, TN 37950-9019 423.549.5201
TPC can help you with questions about household products, chemicals at work or in the environment, drugs
(prescription, over-the-counter, herbal & illegal), snake and spider bites, & chemical terrorism. A specially
trained nurse, pharmacist or doctor will help. All calls are free and confidential.
REPORTABLE DISEASES
The reporting of evidence of certain animal diseases is a requirement under Standards for Accreditation of
Veterinarians in Tennessee and other states. Such reporting is also required by State law in Tennessee. Most
important, perhaps, is the veterinarian’s professional responsibility to report these diseases properly to ensure
that appropriate control measures may be instituted. Reportable diseases in general include all diseases for which
control or eradication programs are in effect, and all foreign diseases (not known to exist in this country).
Reportable diseases currently include but are not limited to the following:
Species Avian Equine Bovine Sheep & Goat Porcine Dog & Cat
Fowl Plague X
Fowl Typhoid X
Pullorum Dz X
Velogenic Viscerotropic Newcastle Dz X
Anthrax X X X X
Brucellosis X X
Psoroptic Scabies X
Screw Worm X X X X
Tuberculosis X
Vesicular Dzs X X X X
BSE X
Bluetongue X
Rabies X X X X X
Scrapie X
Scabies X
Equine Infectious Anemia X
Piroplasmosis X
Viral Encephalitis X
African Swine Fever X
Hog Cholera X
Pseudorabies X
Rabies is reportable in all species - Suspected or known rabies infection should also be reported to local public
health authorities. Reporting should include telephone or written notice to the State Veterinarian’s office and
submission of samples to the appropriate laboratory.